CAJ | 학술논문

目的：探讨卒中后吞咽障碍患者家属的强化教育对患者营养状况的影响。方法经纳入标准吞咽功能评估诊断为吞咽障碍的脑卒中患者42例，将患者及其家属随机分成干预组(21对)和对照组(21对)。干预组陪护家属给予强化教育，每次5~10 min，每周1次，持续1个月；对照组家属仅进行常规健康教育。两组患者均接受药物及常规吞咽功能训练。1个月后比较两组患者的血红蛋白(Hb)、血清白蛋白(ALB)、健侧肱三头肌皮褶厚度(TSF)、健侧上臂肌围(AMC)。结果干预组患者的Hb、ALB、健侧TSF和AMC均高于对照组(P<0.05)。结论对卒中后吞咽障碍患者的家属进行吞咽障碍康复管理的强化教育，可有效改善卒中后吞咽障碍患者的营养状况。
목적：탐토졸중후탄인장애환자가속적강화교육대환자영양상황적영향。방법경납입표준탄인공능평고진단위탄인장애적뇌졸중환자42례，장환자급기가속수궤분성간예조(21대)화대조조(21대)。간예조배호가속급여강화교육，매차5~10 min，매주1차，지속1개월；대조조가속부진행상규건강교육。량조환자균접수약물급상규탄인공능훈련。1개월후비교량조환자적혈홍단백(Hb)、혈청백단백(ALB)、건측굉삼두기피습후도(TSF)、건측상비기위(AMC)。결과간예조환자적Hb、ALB、건측TSF화AMC균고우대조조(P<0.05)。결론대졸중후탄인장애환자적가속진행탄인장애강복관리적강화교육，가유효개선졸중후탄인장애환자적영양상황。
Objective To investigate the effect of intensive education among the families on nutritional status of the stroke patients with dysphagia. Methods 42 stroke patients with dysphagia diagnosed with Standard Swallowing Assessment were enrolled in the study. The pa-tients and their families were randomly divided into intervention group (21 pairs) and control group (21 pairs). The families of the interven-tion group were given the intensive health education, 5~10 minutes each time, once a week for 1 month. The families of the control group were only given routine health education. The two groups of patients received conventional drug and swallowing function training. Hemo-globin (Hb), serum albumin (ALB), contralateral brachial triceps skin fold thickness (TSF) and arm muscle circumference (AMC) were mea-sured 1 month latter. Results Hb, ALB, TSF and AMC in the intervention group were higher than in the control group (P<0.05). Conclusion Intensive education among the families may improve the nutritional status of stroke patients with dysphagia.